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Structural ambiguity of the Chinese version of the hospital anxiety and depression scale in patients with coronary heart disease

Wang, W., Lopez, V., Thompson, D. and Martin, C.R. (2006) Structural ambiguity of the Chinese version of the hospital anxiety and depression scale in patients with coronary heart disease. Health and Quality of Life Outcomes, 4 (6). ISSN 1477-7525

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Abstract

Background

The Hospital Anxiety and Depression Scale (HADS) is a widely used screening tool designed as a case detector for clinically relevant anxiety and depression. Recent studies of the HADS in coronary heart disease (CHD) patients in European countries suggest it comprises three, rather than two, underlying sub-scale dimensions. The factor structure of the Chinese version of the HADS was evaluated in patients with CHD in mainland China.

Methods

Confirmatory factor analysis (CFA) was conducted on self-report HADS forms from 154 Chinese CHD patients.

Results

Little difference was observed in model fit between best performing three-factor and two-factor models.

Conclusion

The current observations are inconsistent with recent studies highlighting a dominant underlying tri-dimensional structure to the HADS in CHD patients. The Chinese version of the HADS may perform differently to European language versions of the instrument in patients with CHD.

Item Type: Article
Copyright, Publisher and Additional Information: © 2006 Wang et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Institution: The University of Sheffield
Academic Units: The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Nursing and Midwifery (Sheffield) > Department of Mental Health and Learning Disabilities (Sheffield)
Depositing User: Repository Officer
Date Deposited: 14 Mar 2006
Last Modified: 05 Jun 2014 18:12
Published Version: http://www.hqlo.com/content/4/1/6
Status: Published
Refereed: Yes
Identification Number: 10.1186/1477-7525-4-6
URI: http://eprints.whiterose.ac.uk/id/eprint/1073

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